Fragility Fractures of the Pelvis and Sacrum: Current Trends in Literature.

Fragility fractures of the pelvis (FFP) and fragility fractures of the sacrum (FFS), which are emerging in the geriatric population, exhibit characteristics that differ from those of pelvic ring disruptions occurring in the younger population. Treatment of FFP/FFS by a multidisciplinary team can be helpful in reducing morbidity and mortality with the goal of reducing pain, regaining early mobility, and restoring independence for activities of daily living. Conservative treatment, including bed rest, pain therapy, and mobilization as tolerated, is indicated for treatment of FFP type I and type II as loss of stability is limited with these fractures.

Vacuum-Assisted Therapy for Combined Volar-Dorsal Soft-Tissue Defects of the Hand: A Case Report.

Application of negative-pressure wound therapy dressings to the web spaces and small, often moist, areas of the hand can be technically demanding and time consuming. The researchers present a case report and technique for managing a devastating hand infection and soft-tissue defects by creating a self-fabricated sponge glove that is easily reproducible. Vacuum-assisted therapy for combined volar dorsal soft-tissue defects of the hand, or "Hand Vac," is a novel approach for treating extensive hand wounds.

Pressure reducing skin pie-crusting in extremity trauma: An in-vitro biomechanical study and human case series.

Background: Multiple small relaxing skin incisions oriented parallel to the longitudinal axis (so-called "pie-crusting") near traumatic lacerations or surgical incisions in edematous tissue beds have been utilized to achieve primary closure when edema or skin loss would otherwise have made this difficult. Our study hopes to demonstrate (1) biomechanical evidence that pie-crusting decreases wound closure tension and (2) provide a case series with data showing clinical results.

Materials And Methods: This study is a biomechanical cadaveric study and retrospective small series cohort using 16 porcine limbs and 7 patients with 8 wounds in which pie-crusting was performed.

Reliable Method of Radial and Ulnar Nerve Identification During the Posterior Approach to the Humerus: A Clinical and Cadaveric Correlation Study.

Objective: To determine the reliability of using "fingerbreadths" and anatomic landmarks as reference points for predictable identification of the radial and ulnar nerves when using the posterior approach to the humerus.

Methods: A systematic approach using "fingerbreadths" to mark and measure the skin before incision. Two markings were made: the first 4 fingerbreadths proximal to the lateral epicondyle (radial nerve location) and the second 2 fingerbreadths proximal to the medial epicondyle (ulnar nerve location).

Pilon Fractures: Challenges and Solutions.

Pilon fractures include a wide range of complexity. The timing and type of definitive fixation is dictated by the soft tissue injury and energy imparted to the fracture. One should have a low threshold for staged protocols and delayed definitive fixation to avoid complications.

A rare case of osteomyelitis: a literature review and proposed treatment algorithm.

Background: is a rare opportunistic pathogen that can be found in immunosuppressed patients. There are seldom-reported cases of fungal osteomyelitis surrounding orthopedic implants.

Case Presentation: This is a case of chronic osteomyelitis in an immunocompromised patient with a prior open reduction and internal fixation for a closed bimalleolar ankle fracture that went on to neglected wound complications.